We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
from Part II - Neurosurgery-Specific Bioethics
Published online by Cambridge University Press: 29 May 2020
A thorough understanding of ethical issues, which are often encountered in the field of paediatric neurosurgery, can help neurosurgeons in decision-making regarding optimal treatment in children. Although ethical dilemmas in paediatric neurosurgical patients frequently share common characteristics with those seen in the management of adult patients, they also differ and are more complex. For example, because child patients do not have the ability to make decisions on their own due to their age, their parents are usually substitute decision makers. Ethical problems in paediatric neurosurgery may arise with prenatal diagnosis and continue to be encountered in various age groups with different characteristics during foetal, neonatal, infancy, playschool age, school age, and adolescence. Moreover, intrauterine foetal life involves the health and wellbeing of the mother, further complicating ethical decision-making. Collaborative communication and the exchange of information between the medical team and the family, which leads to a shared family-centered decision-making, are an increasingly preferred approach to paediatric medical decision-making. In addition, developmental maturation of the child allows for increasing longitudinal inclusion of the child’s opinion in medical decision-making in clinical and research practice. The child should always be informed in a respectful manner and using simple language adjusted to the childs age. Despite the limits of medicine at a specific time, clinicians should always respect a child with an incurable disease and show warm sympathy toward babies born with the fate of a short life.
To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Find out more about the Kindle Personal Document Service.
To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.
To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.
